Individual provider Active NPI

Ruby Judith Maloco Garzon, NP

  • Acute Care Nurse Practitioner
  • Forest Hills, NY
National Provider Identifier
1942819636
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
431779 Issued in NY
Practice address
6860 Austin St Ste 303
Forest Hills, NY 11375-4223
Phone
(718) 459-0700
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 431779 NY Primary

Addresses

Primary practice location

6860 Austin St Ste 303
Forest Hills, NY 11375-4223

Mailing address

6860 Austin St Ste 303
Forest Hills, NY 11375-4223
Phone (718) 459-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202003055 NY Practitioner - Nurse Practitioner 9234540907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
431779NYMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: rubyjudithgarzon@nslijmedgr.allscriptsdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1942819636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST STE 303",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754223",
            "telephone_number": "718-459-0700",
            "fax_number": "646-619-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN ST STE 303",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754223",
            "telephone_number": "718-459-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZON",
        "first_name": "RUBY JUDITH",
        "middle_name": "MALOCO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "431779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.